Provider Demographics
NPI:1720425366
Name:SPEIRS, BRETT AARON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:AARON
Last Name:SPEIRS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:140 JORDAN CREEK PKWY STE 150
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8485
Practice Address - Country:US
Practice Address - Phone:515-225-8863
Practice Address - Fax:515-225-8510
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014008169225100000X
KS11-04560225100000X
IA098112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2868068OtherMEDICARE PTAN
MOMA4370094OtherMEDICARE PTAN
008465OtherOPTUM
49008023OtherBCBS-KC